Northwest Health - Starke — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $218,975 – $744,705 · median $257,516 | 28 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $163,543 – $1,067,246 · median $359,306 | 28 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $54,731 – $186,053 · median $64,809 | 28 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $34,595 – $117,563 · median $45,463 | 28 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,799 – $67,238 · median $27,546 | 28 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $509,859 – $3,424,048 · median $1,152,763 | 28 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $16,369 – $163,533 · median $55,062 | 28 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $92,907 – $385,592 · median $129,816 | 28 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $62,504 – $353,665 · median $119,067 | 28 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $37,516 – $330,619 · median $111,308 | 28 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $67,658 – $259,305 · median $87,300 | 28 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,657 – $90,562 · median $36,811 | 28 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $30,882 – $104,936 · median $42,521 | 28 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,313 – $72,387 · median $29,592 | 28 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,410 – $59,112 · median $24,318 | 28 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $40,612 – $138,030 · median $55,667 | 28 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,326 – $79,234 · median $32,312 | 28 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,229 – $51,692 · median $21,371 | 28 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,442 – $103,437 · median $41,925 | 28 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,801 – $50,238 · median $20,794 | 28 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,685 – $39,639 · median $16,583 | 28 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $26,382 – $89,629 · median $36,441 | 28 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,529 – $56,114 · median $23,128 | 28 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,548 – $45,977 · median $19,101 | 28 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,531 – $76,528 · median $31,237 | 28 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,417 – $38,726 · median $16,221 | 28 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,440 – $28,603 · median $11,945 | 28 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $45,589 – $160,196 · median $55,001 | 28 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,252 – $51,771 · median $21,403 | 28 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,116 – $41,106 · median $17,166 | 28 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,673 – $42,999 · median $17,918 | 28 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,134 – $24,158 · median $10,008 | 28 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,780 – $36,559 · median $15,360 | 28 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,403 – $25,073 · median $10,407 | 28 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,080 – $54,588 · median $22,521 | 28 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,240 – $31,322 · median $13,130 | 28 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,995 – $40,694 · median $17,003 | 28 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,876 – $30,084 · median $12,590 | 28 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,738 – $22,813 · median $9,422 | 28 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,969 – $64,415 · median $26,425 | 28 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,313 – $41,774 · median $17,432 | 28 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,960 – $33,772 · median $14,197 | 28 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,002 – $47,521 · median $19,714 | 28 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,341 – $24,862 · median $10,315 | 28 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,171 – $17,483 · median $7,100 | 28 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,392 – $35,242 · median $14,837 | 28 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,370 – $21,559 · median $8,876 | 28 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,933 – $20,073 · median $8,229 | 28 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $19,656 – $109,067 · median $36,729 | 28 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,445 – $25,218 · median $10,470 | 28 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,649 – $19,109 · median $7,808 | 28 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,295 – $38,312 · median $12,913 | 28 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,477 – $25,326 · median $10,517 | 28 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,380 – $45,404 · median $18,873 | 28 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,109 – $20,671 · median $8,489 | 28 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,909 – $36,999 · median $15,535 | 28 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,258 – $24,582 · median $10,447 | 28 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,053 – $17,082 · median $7,260 | 28 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,664 – $42,970 · median $17,906 | 28 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,577 – $22,265 · median $9,184 | 28 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,830 – $53,738 · median $22,184 | 28 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,907 – $33,591 · median $14,119 | 28 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,978 – $23,628 · median $9,778 | 28 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,739 – $53,428 · median $22,061 | 28 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,287 – $31,483 · median $13,200 | 28 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,704 – $22,698 · median $8,697 | 28 plans |
| 088 | CONCUSSION WITH MCC | $9,614 – $32,595 · median $13,684 | 28 plans |
| 089 | CONCUSSION WITH CC | $7,929 – $26,862 · median $10,020 | 28 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,095 – $20,626 · median $8,469 | 28 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,306 – $41,751 · median $17,423 | 28 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,425 – $25,150 · median $10,440 | 28 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,916 – $20,017 · median $8,204 | 28 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,044 – $81,675 · median $33,281 | 28 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,785 – $60,386 · median $24,825 | 28 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,785 – $60,386 · median $23,358 | 28 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $24,659 – $83,767 · median $34,112 | 28 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,892 – $53,949 · median $18,177 | 28 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,685 – $32,835 · median $13,789 | 28 plans |
| 100 | SEIZURES WITH MCC | $13,508 – $45,841 · median $19,047 | 28 plans |
| 101 | SEIZURES WITHOUT MCC | $6,624 – $22,424 · median $9,253 | 28 plans |
| 102 | HEADACHES WITH MCC | $8,077 – $27,367 · median $11,406 | 28 plans |
| 103 | HEADACHES WITHOUT MCC | $6,182 – $20,922 · median $8,466 | 28 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,266 – $55,222 · median $22,773 | 28 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $15,975 – $64,106 · median $21,595 | 28 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,833 – $36,741 · median $15,432 | 28 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,652 – $42,927 · median $17,889 | 28 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,837 – $26,551 · median $11,051 | 28 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,359 – $28,327 · median $11,053 | 28 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,846 – $19,779 · median $8,100 | 28 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,931 – $20,069 · median $8,227 | 28 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $9,423 – $31,945 · median $13,401 | 28 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,726 – $19,371 · median $7,923 | 28 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,061 – $51,121 · median $21,144 | 28 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,374 – $24,975 · median $10,365 | 28 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,555 – $35,796 · median $15,057 | 28 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,515 – $22,052 · median $9,091 | 28 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,841 – $29,966 · median $12,539 | 28 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $39,426 – $133,997 · median $48,630 | 28 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,135 – $51,372 · median $21,244 | 28 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,242 – $38,133 · median $15,985 | 28 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,556 – $86,819 · median $35,325 | 28 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,151 – $41,224 · median $17,213 | 28 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,619 – $29,210 · median $12,209 | 28 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,711 – $49,930 · median $18,408 | 28 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,080 – $30,777 · median $12,892 | 28 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,922 – $20,035 · median $8,212 | 28 plans |
| 149 | DYSEQUILIBRIUM | $5,619 – $19,005 · median $7,763 | 28 plans |
| 150 | EPISTAXIS WITH MCC | $9,479 – $32,135 · median $13,484 | 28 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,501 – $18,606 · median $7,589 | 28 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,485 – $28,755 · median $12,011 | 28 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,529 – $18,701 · median $7,631 | 28 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,023 – $37,388 · median $15,689 | 28 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $22,738 · median $7,671 | 28 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,216 – $17,635 · median $7,166 | 28 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,044 – $40,859 · median $17,068 | 28 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,672 – $22,587 · median $8,641 | 28 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,332 – $18,029 · median $7,338 | 28 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $52,917 – $455,751 · median $153,436 | 28 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,417 – $59,136 · median $24,328 | 28 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,358 – $45,329 · median $18,844 | 28 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $25,497 – $86,618 · median $35,244 | 28 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,620 – $42,820 · median $17,847 | 28 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,711 – $32,925 · median $13,828 | 28 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,442 – $69,380 · median $23,371 | 28 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,759 – $33,088 · median $13,900 | 28 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,974 – $20,214 · median $8,290 | 28 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,018 – $37,370 · median $15,682 | 28 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,112 – $24,086 · median $9,977 | 28 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,641 – $19,082 · median $7,796 | 28 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,371 – $41,973 · median $17,511 | 28 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,745 – $26,237 · median $10,914 | 28 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,633 – $19,054 · median $7,785 | 28 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,800 – $36,627 · median $15,387 | 28 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,699 – $26,080 · median $9,037 | 28 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,851 – $19,795 · median $7,895 | 28 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,990 – $37,275 · median $12,564 | 28 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,200 – $24,382 · median $10,106 | 28 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,390 – $18,226 · median $7,423 | 28 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,839 – $29,959 · median $12,536 | 28 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,989 – $27,068 · median $11,276 | 28 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,227 – $21,074 · median $8,665 | 28 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,889 – $16,523 · median $6,666 | 28 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,365 – $31,748 · median $12,234 | 28 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,980 – $20,234 · median $8,299 | 28 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,799 – $16,217 · median $6,548 | 28 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,178 – $44,718 · median $18,601 | 28 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | — | 28 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,456 – $76,415 · median $25,739 | 28 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,359 – $41,930 · median $17,494 | 28 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,933 – $26,877 · median $11,193 | 28 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,376 – $18,178 · median $7,403 | 28 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,080 – $23,977 · median $9,929 | 28 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,075 – $17,157 · median $6,958 | 28 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,990 – $20,268 · median $8,313 | 28 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,804 – $43,445 · median $18,095 | 28 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,880 – $23,295 · median $9,632 | 28 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $75,975 – $578,551 · median $194,779 | 28 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,913 – $64,224 · median $26,349 | 28 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $73,004 – $248,205 · median $99,430 | 28 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $98,223 – $333,987 · median $117,229 | 28 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $87,649 – $298,020 · median $109,906 | 28 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $44,387 – $150,869 · median $60,766 | 28 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $44,387 – $150,869 · median $52,476 | 28 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $84,088 – $285,906 · median $98,161 | 28 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $36,115 – $122,735 · median $49,591 | 28 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $34,168 – $116,110 · median $46,959 | 28 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,550 – $114,009 · median $46,125 | 28 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,581 – $73,299 · median $29,954 | 28 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $88,525 – $300,999 · median $103,343 | 28 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $45,575 – $154,912 · median $62,372 | 28 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $55,146 – $187,465 · median $75,303 | 28 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $36,980 – $125,676 · median $50,759 | 28 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,682 – $134,867 · median $54,410 | 28 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,500 – $96,832 · median $39,302 | 28 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $44,221 – $150,306 · median $55,359 | 28 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,591 – $66,529 · median $27,265 | 28 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,831 – $33,333 · median $14,006 | 28 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $31,342 – $106,499 · median $37,486 | 28 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,801 – $50,236 · median $20,793 | 28 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,648 – $42,913 · median $17,884 | 28 plans |
| 245 | AICD GENERATOR PROCEDURES | $30,987 – $105,291 · median $42,662 | 28 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $16,199 – $54,993 · median $22,508 | 28 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $10,564 – $35,826 · median $15,069 | 28 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,837 – $80,971 · median $33,001 | 28 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,894 – $60,758 · median $24,972 | 28 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,476 – $42,329 · median $17,652 | 28 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,572 – $63,063 · median $25,888 | 28 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,918 – $40,431 · median $16,898 | 28 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,886 – $26,717 · median $11,123 | 28 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,532 – $73,132 · median $29,888 | 28 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,076 – $47,772 · median $19,814 | 28 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,269 – $75,638 · median $30,883 | 28 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,200 – $44,792 · median $18,631 | 28 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,465 – $38,892 · median $16,287 | 28 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,968 – $71,214 · median $29,126 | 28 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,853 – $77,626 · median $31,673 | 28 plans |
| 265 | AICD LEAD PROCEDURES | $24,701 – $83,912 · median $34,170 | 28 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,438 – $147,641 · median $59,484 | 28 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,390 – $116,866 · median $47,260 | 28 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $81,207 – $560,393 · median $188,666 | 28 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $47,622 – $161,872 · median $55,576 | 28 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $35,739 – $121,456 · median $49,083 | 28 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,289 – $82,511 · median $33,613 | 28 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,610 – $59,793 · median $24,589 | 28 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,078 – $95,399 · median $38,732 | 28 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,528 – $76,519 · median $31,233 | 28 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $48,082 – $163,438 · median $65,759 | 28 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $40,601 – $137,992 · median $55,651 | 28 plans |
| 277 | CELLULITIS AGE >17 W CC | $54,531 – $191,467 · median $65,737 | 28 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $14,431 – $128,020 · median $43,109 | 28 plans |
| 279 | CELLULITIS AGE 0-17 | $21,134 – $83,645 · median $28,172 | 28 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,294 – $38,307 · median $16,055 | 28 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,734 – $22,797 · median $9,415 | 28 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,429 – $18,359 · median $7,482 | 28 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,801 – $46,837 · median $19,443 | 28 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,223 – $17,660 · median $7,177 | 28 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,602 – $15,547 · median $5,472 | 28 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,346 – $52,090 · median $21,529 | 28 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,739 – $26,216 · median $10,905 | 28 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $31,952 – $130,415 · median $43,915 | 28 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,978 – $40,635 · median $16,979 | 28 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,804 – $23,037 · median $9,520 | 28 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,161 – $31,055 · median $13,014 | 28 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,267 – $21,210 · median $8,724 | 28 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,383 – $14,802 · median $5,932 | 28 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,790 – $29,792 · median $12,661 | 28 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,873 – $19,870 · median $8,411 | 28 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,013 – $37,352 · median $15,675 | 28 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,836 – $16,342 · median $6,603 | 28 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,645 – $12,291 · median $4,838 | 28 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,484 – $38,955 · median $16,312 | 28 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,722 – $26,157 · median $10,880 | 28 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,406 – $18,282 · median $6,973 | 28 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,581 – $29,081 · median $12,153 | 28 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,097 – $17,229 · median $6,989 | 28 plans |
| 304 | HYPERTENSION WITH MCC | $8,537 – $28,931 · median $12,088 | 28 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,642 – $19,084 · median $7,797 | 28 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,105 – $37,667 · median $15,800 | 28 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,694 – $22,664 · median $9,357 | 28 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,630 – $29,248 · median $9,927 | 28 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,513 – $18,645 · median $7,606 | 28 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,384 – $14,804 · median $5,001 | 28 plans |
| 311 | ANGINA PECTORIS | $5,288 – $17,879 · median $7,273 | 28 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,417 – $21,722 · median $8,947 | 28 plans |
| 313 | CHEST PAIN | $5,408 – $18,289 · median $7,451 | 28 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $24,620 – $136,792 · median $46,062 | 28 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,028 – $23,798 · median $8,683 | 28 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,156 – $17,431 · median $7,077 | 28 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $30,325 – $103,038 · median $41,767 | 28 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,627 – $56,449 · median $23,261 | 28 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $18,727 – $63,593 · median $26,098 | 28 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $12,351 – $41,905 · median $16,126 | 28 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $29,423 – $99,970 · median $40,548 | 28 plans |
| 324 | URINARY STONES W/O CC | $21,061 – $73,333 · median $24,701 | 28 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $21,987 – $74,678 · median $30,502 | 28 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $58,886 – $365,902 · median $123,187 | 28 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $28,859 – $161,559 · median $54,398 | 28 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,282 – $38,267 · median $16,038 | 28 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,595 – $110,761 · median $44,835 | 28 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,573 – $56,265 · median $23,188 | 28 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,818 – $40,092 · median $16,763 | 28 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,718 – $83,969 · median $34,192 | 28 plans |
| 333 | RECTAL RESECTION WITH CC | $27,654 – $162,550 · median $54,732 | 28 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,519 – $39,073 · median $16,359 | 28 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $24,387 – $82,841 · median $33,744 | 28 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,653 – $49,733 · median $20,593 | 28 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,834 – $36,743 · median $15,433 | 28 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,809 – $60,468 · median $24,857 | 28 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,632 – $36,057 · median $15,161 | 28 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,512 – $28,845 · median $12,051 | 28 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $27,104 – $253,742 · median $85,427 | 28 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,398 – $31,621 · median $10,661 | 28 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,411 – $21,699 · median $8,937 | 28 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,204 – $58,410 · median $19,678 | 28 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,764 – $36,505 · median $15,339 | 28 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,389 – $28,429 · median $11,869 | 28 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,934 – $67,695 · median $27,728 | 28 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,815 – $40,080 · median $16,759 | 28 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,569 – $32,441 · median $13,617 | 28 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $51,866 – $304,121 · median $102,388 | 28 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,096 – $54,642 · median $22,543 | 28 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,921 – $33,639 · median $14,139 | 28 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,212 – $38,031 · median $15,945 | 28 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,274 – $24,634 · median $10,216 | 28 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,280 – $17,854 · median $7,262 | 28 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,419 – $42,134 · median $17,575 | 28 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,412 – $25,105 · median $10,421 | 28 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,458 – $18,457 · median $7,524 | 28 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,565 – $50,412 · median $16,986 | 28 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,667 – $29,375 · median $12,281 | 28 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,768 – $22,915 · median $9,467 | 28 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,784 – $43,377 · median $18,068 | 28 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,144 – $24,192 · median $10,023 | 28 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,812 – $16,260 · median $6,567 | 28 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,678 – $46,416 · median $18,447 | 28 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,828 – $26,520 · median $11,037 | 28 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,945 – $20,114 · median $8,246 | 28 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,806 – $33,249 · median $13,970 | 28 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,306 – $21,341 · median $8,781 | 28 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,379 – $59,007 · median $20,259 | 28 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,114 – $24,092 · median $9,980 | 28 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,151 – $17,413 · median $7,069 | 28 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,446 – $35,425 · median $14,910 | 28 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,873 – $19,870 · median $8,140 | 28 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,237 – $14,304 · median $5,715 | 28 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,058 – $30,704 · median $10,796 | 28 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,805 – $19,639 · median $8,039 | 28 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,262 – $38,199 · median $16,011 | 28 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,844 – $23,173 · median $9,579 | 28 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,936 – $16,681 · median $6,751 | 28 plans |
| 397 | COAGULATION DISORDERS | $16,558 – $56,213 · median $23,167 | 28 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $10,691 – $36,258 · median $15,241 | 28 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $13,515 – $115,038 · median $38,739 | 28 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $37,032 – $125,853 · median $50,830 | 28 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,922 – $67,655 · median $27,712 | 28 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,391 – $52,244 · median $21,590 | 28 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,351 – $82,721 · median $33,697 | 28 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,109 – $51,286 · median $21,210 | 28 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,184 – $37,936 · median $15,907 | 28 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,605 – $76,782 · median $31,337 | 28 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,611 – $49,593 · median $20,537 | 28 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,669 – $39,585 · median $16,562 | 28 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $24,331 – $82,653 · median $33,670 | 28 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,373 – $48,782 · median $20,215 | 28 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,691 – $32,855 · median $13,798 | 28 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,501 – $56,021 · median $23,091 | 28 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,876 – $40,289 · median $16,842 | 28 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,707 – $32,912 · median $13,823 | 28 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,833 – $79,132 · median $26,653 | 28 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,182 – $41,328 · median $17,254 | 28 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,932 – $33,675 · median $14,155 | 28 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $28,262 – $96,021 · median $38,980 | 28 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $18,500 – $62,820 · median $23,910 | 28 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,603 – $35,957 · median $15,121 | 28 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $23,239 – $187,867 · median $63,253 | 28 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,646 – $25,902 · median $10,768 | 28 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,358 – $18,119 · median $7,377 | 28 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,842 – $43,574 · median $18,147 | 28 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,145 – $27,598 · median $11,507 | 28 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,296 – $21,307 · median $8,766 | 28 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,467 – $38,898 · median $16,289 | 28 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,215 – $21,033 · median $8,647 | 28 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,752 – $16,057 · median $6,478 | 28 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,562 – $42,623 · median $17,769 | 28 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,041 – $23,843 · median $9,871 | 28 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,273 – $17,829 · median $7,251 | 28 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,738 – $39,820 · median $16,655 | 28 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,901 – $26,767 · median $11,145 | 28 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,123 – $20,719 · median $8,510 | 28 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $76,241 – $273,656 · median $103,804 | 28 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $41,331 – $140,476 · median $56,638 | 28 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $31,274 – $146,158 · median $43,051 | 28 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $92,929 – $315,980 · median $108,486 | 28 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $40,311 – $137,007 · median $55,260 | 28 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $28,392 – $96,465 · median $39,156 | 28 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $44,766 – $176,974 · median $61,279 | 28 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,966 – $84,811 · median $34,527 | 28 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $65,210 – $359,957 · median $121,185 | 28 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,323 – $62,216 · median $25,552 | 28 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $38,556 – $131,038 · median $52,889 | 28 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,350 – $72,512 · median $29,641 | 28 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,756 – $43,280 · median $18,030 | 28 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $35,267 – $119,851 · median $48,445 | 28 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,092 – $81,838 · median $33,346 | 28 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,909 – $64,208 · median $26,343 | 28 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,807 – $70,666 · median $28,908 | 28 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,456 – $45,662 · median $18,976 | 28 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $57,012 – $374,838 · median $126,195 | 28 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,227 – $68,694 · median $28,125 | 28 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,867 – $57,264 · median $23,584 | 28 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $29,193 – $99,189 · median $40,238 | 28 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,764 – $53,514 · median $22,095 | 28 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,472 – $28,709 · median $11,991 | 28 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,612 – $80,208 · median $32,698 | 28 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,986 – $57,669 · median $23,745 | 28 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,990 – $44,077 · median $18,346 | 28 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,002 – $67,929 · median $27,821 | 28 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,558 – $49,411 · median $20,465 | 28 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,473 – $38,917 · median $16,297 | 28 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,068 – $64,750 · median $26,558 | 28 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $38,102 – $186,536 · median $62,805 | 28 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,536 – $49,334 · median $20,435 | 28 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,041 – $37,449 · median $15,714 | 28 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,391 – $42,039 · median $17,537 | 28 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,050 – $27,274 · median $11,366 | 28 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,057 – $85,121 · median $34,650 | 28 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,498 – $59,410 · median $24,205 | 28 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,972 – $47,419 · median $19,674 | 28 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $24,751 – $84,082 · median $34,237 | 28 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,624 – $42,831 · median $17,852 | 28 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,659 – $29,346 · median $12,269 | 28 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,698 – $70,295 · median $26,275 | 28 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $18,093 – $61,433 · median $22,645 | 28 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $35,263 – $119,837 · median $41,144 | 28 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,252 – $41,568 · median $17,350 | 28 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,575 – $32,461 · median $13,626 | 28 plans |
| 503 | FOOT PROCEDURES WITH MCC | $32,955 – $149,988 · median $50,503 | 28 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,058 – $44,310 · median $18,439 | 28 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,550 – $42,580 · median $17,752 | 28 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,597 – $32,536 · median $13,659 | 28 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,640 – $42,888 · median $17,874 | 28 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,697 – $36,276 · median $15,248 | 28 plans |
| 509 | ARTHROSCOPY | $19,505 – $136,253 · median $27,148 | 28 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,723 – $70,379 · median $28,794 | 28 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,458 – $49,070 · median $20,329 | 28 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,635 – $39,469 · median $16,516 | 28 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,095 – $37,633 · median $15,787 | 28 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,421 – $25,134 · median $10,434 | 28 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,830 – $74,146 · median $30,291 | 28 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,449 – $49,040 · median $20,318 | 28 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,845 – $36,781 · median $15,448 | 28 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,494 – $86,609 · median $35,241 | 28 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,930 – $47,276 · median $19,617 | 28 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,560 – $35,812 · median $15,063 | 28 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,722 – $66,975 · median $27,442 | 28 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,713 – $49,937 · median $20,674 | 28 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,051 – $37,483 · median $15,727 | 28 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,981 – $20,239 · median $8,301 | 28 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,149 – $31,014 · median $12,996 | 28 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,991 – $20,273 · median $8,315 | 28 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,968 – $23,594 · median $9,763 | 28 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,410 – $18,296 · median $7,454 | 28 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,927 – $46,586 · median $15,698 | 28 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,245 – $31,338 · median $13,137 | 28 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,857 – $19,815 · median $8,116 | 28 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,375 – $41,985 · median $17,515 | 28 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,459 – $25,263 · median $10,490 | 28 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,639 – $19,073 · median $7,792 | 28 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $58,179 · median $19,600 | 28 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,293 – $28,102 · median $11,727 | 28 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,182 – $20,920 · median $8,598 | 28 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,469 – $45,707 · median $18,994 | 28 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,652 – $29,321 · median $12,149 | 28 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,275 – $21,778 · median $7,348 | 28 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $39,938 · median $13,460 | 28 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,015 – $23,753 · median $9,832 | 28 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,245 – $31,338 · median $13,137 | 28 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,141 – $20,782 · median $8,537 | 28 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,414 – $31,915 · median $13,388 | 28 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,145 – $20,793 · median $8,542 | 28 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,513 – $35,654 · median $15,000 | 28 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,561 – $22,211 · median $8,954 | 28 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,030 – $44,213 · median $18,400 | 28 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,112 – $27,484 · median $11,458 | 28 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,967 – $20,189 · median $8,279 | 28 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,100 – $34,248 · median $12,035 | 28 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,577 – $22,263 · median $9,183 | 28 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,891 – $36,938 · median $15,510 | 28 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,102 – $24,049 · median $9,961 | 28 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $18,953 · median $6,397 | 28 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | — | 28 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,862 – $40,241 · median $16,823 | 28 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,246 – $27,942 · median $11,657 | 28 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,228 – $150,328 · median $56,143 | 28 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,724 – $80,588 · median $32,849 | 28 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,578 – $42,675 · median $17,790 | 28 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,730 – $112,963 · median $38,041 | 28 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,261 – $62,005 · median $25,468 | 28 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,309 – $38,360 · median $16,075 | 28 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,174 – $75,315 · median $30,755 | 28 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,118 – $41,113 · median $16,202 | 28 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,222 – $34,662 · median $14,585 | 28 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,441 – $45,610 · median $18,955 | 28 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,094 – $41,031 · median $17,137 | 28 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,866 – $50,458 · median $20,881 | 28 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,457 – $45,666 · median $18,978 | 28 plans |
| 592 | SKIN ULCERS WITH MCC | $13,498 – $45,807 · median $19,033 | 28 plans |
| 593 | SKIN ULCERS WITH CC | $8,512 – $28,847 · median $11,064 | 28 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,385 – $21,613 · median $8,899 | 28 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,733 – $50,005 · median $20,701 | 28 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,821 – $26,497 · median $8,936 | 28 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,713 – $39,734 · median $16,621 | 28 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,357 – $115,813 · median $39,000 | 28 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,084 – $32,067 · median $11,010 | 28 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,549 – $25,571 · median $10,624 | 28 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,643 – $15,685 · median $6,317 | 28 plans |
| 602 | CELLULITIS WITH MCC | $10,077 – $34,168 · median $14,370 | 28 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,413 – $21,706 · median $8,940 | 28 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,415 – $35,319 · median $14,867 | 28 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,713 – $22,727 · median $9,385 | 28 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,689 – $36,249 · median $15,237 | 28 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,649 – $22,510 · median $7,594 | 28 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,206 – $51,615 · median $21,340 | 28 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,930 – $33,670 · median $14,153 | 28 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,831 – $80,950 · median $32,993 | 28 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,066 – $44,335 · median $18,449 | 28 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $14,141 – $47,993 · median $16,772 | 28 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,837 – $67,365 · median $27,597 | 28 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,268 – $38,221 · median $16,020 | 28 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,657 – $36,141 · median $15,194 | 28 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,309 – $82,576 · median $33,639 | 28 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,557 – $42,605 · median $17,762 | 28 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,712 – $36,329 · median $13,748 | 28 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,720 – $70,370 · median $28,790 | 28 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,597 – $35,937 · median $15,113 | 28 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,458 – $32,063 · median $13,453 | 28 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,424 – $86,371 · median $35,146 | 28 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,119 – $51,320 · median $21,224 | 28 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $17,232 – $78,760 · median $26,528 | 28 plans |
| 637 | DIABETES WITH MCC | $10,179 – $34,517 · median $14,522 | 28 plans |
| 638 | DIABETES WITH CC | $6,581 – $22,279 · median $9,190 | 28 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,751 – $16,052 · median $6,476 | 28 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,048 – $32,228 · median $10,865 | 28 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,796 – $19,607 · median $8,025 | 28 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,436 – $34,187 · median $11,525 | 28 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,573 – $39,259 · median $16,432 | 28 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,439 – $25,195 · median $10,460 | 28 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,730 – $19,383 · median $7,928 | 28 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $55,509 – $196,185 · median $67,357 | 28 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $43,754 – $171,429 · median $57,720 | 28 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $61,354 – $426,937 · median $143,735 | 28 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,250 – $65,370 · median $26,804 | 28 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,705 – $49,912 · median $20,664 | 28 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,810 – $74,076 · median $30,263 | 28 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,797 – $43,422 · median $18,086 | 28 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,946 – $37,123 · median $15,584 | 28 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,530 – $59,519 · median $24,480 | 28 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,414 – $31,913 · median $13,387 | 28 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,508 – $25,431 · median $10,563 | 28 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $20,995 – $71,307 · median $29,046 | 28 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,735 – $36,408 · median $15,300 | 28 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,584 – $25,691 · median $10,676 | 28 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,393 – $72,659 · median $29,700 | 28 plans |
| 666 | PROSTATECTOMY WITH CC | $12,260 – $41,595 · median $17,361 | 28 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,979 – $27,034 · median $11,261 | 28 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,054 – $68,103 · median $27,890 | 28 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,947 – $37,128 · median $15,586 | 28 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,121 – $24,115 · median $9,990 | 28 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,564 – $42,630 · median $17,772 | 28 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,801 – $26,429 · median $10,998 | 28 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $36,071 – $122,584 · median $46,256 | 28 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,183 – $54,939 · median $22,661 | 28 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $19,364 – $65,759 · median $22,577 | 28 plans |
| 682 | RENAL FAILURE WITH MCC | $10,965 – $37,191 · median $15,251 | 28 plans |
| 683 | RENAL FAILURE WITH CC | $6,445 – $21,817 · median $8,988 | 28 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,611 – $15,579 · median $6,270 | 28 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,622 – $42,827 · median $15,106 | 28 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,590 – $25,711 · median $10,685 | 28 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,876 – $19,881 · median $8,145 | 28 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,339 – $28,259 · median $11,795 | 28 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,004 – $20,316 · median $8,334 | 28 plans |
| 693 | URINARY STONES WITH MCC | $9,566 – $32,429 · median $13,612 | 28 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,819 – $19,686 · median $8,060 | 28 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,896 – $27,885 · median $9,403 | 28 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,657 – $17,587 · median $5,937 | 28 plans |
| 697 | URETHRAL STRICTURE | $7,790 – $26,391 · median $10,981 | 28 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,628 – $39,446 · median $16,507 | 28 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,372 – $24,969 · median $10,362 | 28 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,208 – $17,608 · median $6,439 | 28 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,931 – $47,279 · median $19,618 | 28 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,828 – $36,725 · median $15,426 | 28 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,107 – $54,678 · median $22,557 | 28 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,943 – $33,713 · median $14,172 | 28 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,487 – $49,169 · median $20,369 | 28 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,936 – $26,887 · median $11,197 | 28 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,623 – $36,027 · median $15,149 | 28 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,654 – $25,929 · median $10,780 | 28 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,509 – $52,645 · median $19,199 | 28 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,408 – $35,294 · median $14,857 | 28 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,200 – $44,792 · median $18,631 | 28 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,556 – $32,398 · median $13,599 | 28 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,662 – $42,963 · median $17,904 | 28 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,222 – $27,860 · median $11,621 | 28 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,980 – $16,833 · median $6,817 | 28 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,405 – $28,483 · median $11,893 | 28 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,422 – $18,334 · median $7,471 | 28 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,487 – $35,563 · median $14,964 | 28 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,015 – $20,354 · median $8,351 | 28 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,663 – $25,958 · median $10,707 | 28 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,089 – $17,202 · median $6,978 | 28 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,795 – $50,215 · median $20,785 | 28 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,572 – $32,452 · median $13,622 | 28 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,411 – $82,923 · median $33,777 | 28 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,333 – $48,644 · median $20,160 | 28 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,391 – $35,237 · median $14,835 | 28 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $24,466 – $83,111 · median $33,851 | 28 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,662 – $42,961 · median $17,903 | 28 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $16,838 – $76,369 · median $25,723 | 28 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,829 – $43,531 · median $18,130 | 28 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,875 – $30,079 · median $12,588 | 28 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,256 – $48,383 · median $20,057 | 28 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $13,430 – $188,317 · median $63,405 | 28 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,179 – $41,319 · median $17,251 | 28 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,338 – $21,452 · median $8,829 | 28 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,850 – $33,399 · median $13,362 | 28 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,708 – $60,124 · median $24,720 | 28 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,440 – $35,402 · median $14,901 | 28 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,875 – $43,687 · median $18,192 | 28 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,857 – $26,617 · median $11,080 | 28 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,250 – $23,735 · median $8,006 | 28 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,147 – $34,408 · median $14,475 | 28 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,132 – $24,154 · median $10,006 | 28 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,033 – $17,012 · median $6,895 | 28 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,322 – $24,799 · median $10,288 | 28 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,413 – $14,904 · median $5,976 | 28 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,749 – $26,250 · median $10,920 | 28 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,864 – $40,248 · median $16,825 | 28 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,290 – $24,690 · median $10,240 | 28 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,974 – $16,811 · median $6,807 | 28 plans |
| 779 | ABORTION WITHOUT D&C | $6,216 – $21,036 · median $8,648 | 28 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $28,987 – $127,653 · median $42,985 | 28 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,672 – $25,990 · median $10,807 | 28 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,991 – $23,674 · median $9,797 | 28 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,770 – $50,133 · median $18,511 | 28 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,050 – $27,274 · median $11,366 | 28 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,998 – $23,696 · median $9,807 | 28 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,354 – $42,793 · median $14,421 | 28 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,125 – $136,563 · median $45,984 | 28 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,399 – $93,893 · median $31,622 | 28 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,744 – $57,443 · median $19,353 | 28 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,538 – $96,397 · median $32,465 | 28 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,531 – $35,405 · median $11,935 | 28 plans |
| 795 | NORMAL NEWBORN | $1,945 – $6,510 · median $2,319 | 28 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,384 – $28,410 · median $11,861 | 28 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,275 – $24,638 · median $10,218 | 28 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,987 – $23,658 · median $9,790 | 28 plans |
| 799 | SPLENECTOMY WITH MCC | $30,764 – $104,533 · median $42,361 | 28 plans |
| 800 | SPLENECTOMY WITH CC | $23,452 – $79,661 · median $30,526 | 28 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $13,323 – $45,209 · median $18,796 | 28 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $47,040 – $185,476 · median $62,449 | 28 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,990 – $44,077 · median $18,346 | 28 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,642 – $32,690 · median $13,726 | 28 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,799 – $26,422 · median $10,995 | 28 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,635 – $19,059 · median $7,787 | 28 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,103 – $17,252 · median $6,999 | 28 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,313 – $51,979 · median $17,565 | 28 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $14,946 – $71,816 · median $24,191 | 28 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,582 – $25,684 · median $10,673 | 28 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,964 – $33,783 · median $14,202 | 28 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,728 – $22,777 · median $9,407 | 28 plans |
| 813 | COAGULATION DISORDERS | $10,769 – $36,523 · median $15,346 | 28 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,773 – $50,141 · median $20,755 | 28 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,365 – $24,946 · median $10,352 | 28 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,822 – $16,297 · median $6,583 | 28 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,804 – $53,648 · median $22,148 | 28 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,332 – $28,234 · median $11,784 | 28 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,340 – $21,457 · median $8,831 | 28 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $39,657 – $134,781 · median $54,376 | 28 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,517 – $52,674 · median $21,761 | 28 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,630 – $29,248 · median $12,226 | 28 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,313 – $120,007 · median $48,068 | 28 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,697 – $53,286 · median $22,004 | 28 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,598 – $32,540 · median $13,661 | 28 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $31,755 – $107,904 · median $43,700 | 28 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,001 – $54,318 · median $22,414 | 28 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,957 – $40,565 · median $16,951 | 28 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,651 – $73,537 · median $30,049 | 28 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,476 – $38,928 · median $15,697 | 28 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,620 – $29,214 · median $12,211 | 28 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,419 – $18,325 · median $7,467 | 28 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,096 – $13,826 · median $4,671 | 28 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $37,161 – $126,292 · median $42,527 | 28 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,500 – $49,214 · median $20,387 | 28 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,733 – $29,599 · median $11,349 | 28 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $56,724 – $466,848 · median $157,172 | 28 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,511 – $49,251 · median $20,401 | 28 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,227 – $34,680 · median $14,593 | 28 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,150 – $75,233 · median $30,045 | 28 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $19,262 – $138,309 · median $46,572 | 28 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,341 – $24,865 · median $10,262 | 28 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,895 – $47,154 · median $19,569 | 28 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $29,552 · median $9,964 | 28 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,284 – $21,269 · median $8,749 | 28 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $11,534 – $60,688 · median $20,445 | 28 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,324 – $31,608 · median $11,133 | 28 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,057 – $21,219 · median $7,160 | 28 plans |
| 849 | RADIOTHERAPY | $31,991 – $221,857 · median $74,694 | 28 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $33,491 – $113,809 · median $46,046 | 28 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,916 – $47,229 · median $19,598 | 28 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,582 – $35,887 · median $15,093 | 28 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $30,896 – $104,981 · median $42,539 | 28 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,871 – $50,476 · median $17,672 | 28 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,888 – $33,525 · median $14,090 | 28 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,756 – $43,280 · median $18,030 | 28 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,258 – $24,582 · median $10,193 | 28 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,525 – $22,086 · median $9,106 | 28 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,589 – $35,912 · median $15,103 | 28 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,404 – $21,676 · median $8,682 | 28 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $24,714 – $100,452 · median $33,829 | 28 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,479 – $25,333 · median $10,520 | 28 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,473 – $18,509 · median $7,547 | 28 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,626 – $172,091 · median $69,196 | 28 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,546 – $45,970 · median $19,098 | 28 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,427 – $25,157 · median $10,443 | 28 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,857 – $46,509 · median $15,672 | 28 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $16,714 – $192,555 · median $64,831 | 28 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,552 – $97,009 · median $39,372 | 28 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,360 – $45,336 · median $18,846 | 28 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,401 – $28,469 · median $11,887 | 28 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,067 – $85,155 · median $34,663 | 28 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,663 – $46,365 · median $16,871 | 28 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,691 – $46,463 · median $19,294 | 28 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,173 – $88,918 · median $36,158 | 28 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $23,557 – $140,489 · median $47,306 | 28 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,354 – $31,709 · median $13,299 | 28 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,497 – $38,998 · median $16,329 | 28 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,510 – $22,036 · median $9,084 | 28 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,810 – $40,062 · median $16,752 | 28 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,051 – $17,073 · median $6,179 | 28 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,056 – $37,499 · median $15,733 | 28 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,321 – $21,393 · median $7,218 | 28 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,803 – $43,441 · median $18,094 | 28 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,288 – $24,681 · median $8,325 | 28 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,150 – $17,574 · median $5,933 | 28 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,261 – $41,597 · median $17,361 | 28 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,159 – $25,030 · median $8,442 | 28 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $162,080 – $551,186 · median $219,781 | 28 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $48,364 – $164,395 · median $57,922 | 28 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $31,310 – $106,391 · median $37,632 | 28 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,539 – $90,161 · median $36,652 | 28 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,331 – $52,040 · median $21,510 | 28 plans |
| 935 | NON-EXTENSIVE BURNS | $14,329 – $48,630 · median $17,177 | 28 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,770 – $84,145 · median $34,262 | 28 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,172 – $54,900 · median $22,645 | 28 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,114 – $47,899 · median $19,864 | 28 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,924 – $37,051 · median $15,555 | 28 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,249 – $27,953 · median $11,662 | 28 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,066 – $30,729 · median $12,871 | 28 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,944 – $20,112 · median $8,245 | 28 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,535 – $28,924 · median $9,753 | 28 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,411 – $28,662 · median $9,665 | 28 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,317 – $14,576 · median $5,833 | 28 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $49,679 – $168,870 · median $67,917 | 28 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,665 – $87,191 · median $35,472 | 28 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $51,340 – $174,521 · median $70,162 | 28 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $28,667 – $97,400 · median $39,528 | 28 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $34,761 – $142,370 · median $47,939 | 28 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,814 – $63,887 · median $26,215 | 28 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,818 – $36,689 · median $15,412 | 28 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,876 – $23,282 · median $9,627 | 28 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $72,274 – $790,525 · median $266,143 | 28 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $31,140 – $249,784 · median $84,095 | 28 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,827 – $67,333 · median $27,584 | 28 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,236 – $31,309 · median $12,619 | 28 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,624 – $22,426 · median $9,254 | 28 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,254 – $31,370 · median $13,151 | 28 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,848 – $108,221 · median $43,826 | 28 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,981 – $57,653 · median $23,739 | 28 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,025 – $40,796 · median $17,043 | 28 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,485 – $79,615 · median $26,816 | 28 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,557 – $39,202 · median $16,410 | 28 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,598 – $29,139 · median $12,179 | 28 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,344 – $89,498 · median $41,453 | 27 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,007 – $23,728 · median $11,337 | 27 plans |
| 881 | DEPRESSIVE NEUROSES | $6,879 – $23,291 · median $11,109 | 27 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,716 – $26,300 · median $8,942 | 27 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,326 – $38,416 · median $18,750 | 27 plans |
| 885 | PSYCHOSES | $9,914 – $33,614 · median $16,492 | 27 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,430 – $48,977 · median $23,443 | 27 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,744 – $26,234 · median $12,644 | 27 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,722 – $15,955 · median $7,284 | 27 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $20,604 – $112,370 · median $38,206 | 27 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,492 – $21,975 · median $10,423 | 27 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $296,793 – $1,009,392 · median $351,605 | 26 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $38,882 – $274,104 · median $94,109 | 26 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,543 – $136,251 · median $65,178 | 26 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $18,898 – $124,988 · median $42,913 | 26 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $133,795 – $827,259 · median $286,783 | 25 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $121,736 – $496,998 · median $172,293 | 25 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $54,749 – $634,890 · median $220,095 | 25 plans |
| 007 | LUNG TRANSPLANT | — | 25 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $66,174 – $614,540 · median $213,041 | 25 plans |
| 010 | PANCREAS TRANSPLANT | $84,723 – $355,419 · median $123,212 | 25 plans |
| 652 | KIDNEY TRANSPLANT | $38,131 – $120,352 · median $42,123 | 25 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $11,378 · median $7,396 | 7 plans |
| 999 | UNGROUPABLE | $1,676 – $21,765 · median $14,147 | 7 plans |
No procedures match that keyword.